Organization Name: | MEDICO,INC. |
NPI Number: | 1295756070 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OVENIA F. HOWARD (PART OWNER) |
Mailing Address: | 1600 7th St N Clanton |
State: | AL US |
Postal Code: | 350452145 |
Phone Number: | 2052803700 |
Fax Number: | 2052803777 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 194 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |